Dr Mary Boulos, DPT in Pompton Plains, NJ - Medicare Physical Therapist Provider

Dr Mary Boulos, DPT is a medicare enrolled "Physical Therapist" provider in Pompton Plains, New Jersey. Her current practice location is 18 Sanders Pl, Pompton Plains, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 296-5769.

Dr Mary Boulos is licensed to practice in New Jersey (license number 40QA00481400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639339245.

Contact Information

	Dr Mary Boulos, DPT
	18 Sanders Pl, Pompton Plains, NJ 07444-1236
	(973) 296-5769
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Boulos
Gender	Female
Speciality	Physical Therapist
Location	18 Sanders Pl, Pompton Plains, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639339245
Provider Enumeration Date: 06/17/2008
Last Update Date: 11/03/2009

Medicare PECOS Information:

PECOS PAC ID: 6406900885
Enrollment ID: I20090819000741

Medical Identifiers

Medical identifiers for Dr Mary Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639339245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA00481400 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mary Boulos allows following entities to bill medicare on her behalf.

Provider Name	Wycoff-nelson
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1477245587 PECOS PAC ID: 1153775390 Enrollment ID: O20231016002861

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Boulos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mary Boulos, DPT 18 Sanders Pl, Pompton Plains, NJ 07444-1236 Ph: (973) 296-5769	Dr Mary Boulos, DPT 18 Sanders Pl, Pompton Plains, NJ 07444-1236 Ph: (973) 296-5769

Reviews and Comments

Physical Therapist in Pompton Plains, NJ

Dr. Tracy L Sentowski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 242 W Parkway, Pompton Plains, NJ 07444 Phone: 973-831-0717
Danielle M. Cusimano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Cedar Crest Village Dr, Pompton Plains, NJ 07444 Phone: 973-831-3670 Fax: 973-831-3671
Christina Serzan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 715 Newark Pompton Tpke, Pompton Plains, NJ 07444 Phone: 973-835-6115
Alpha Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Jackson Ave, Pompton Plains, NJ 07444 Phone: 973-513-9055 Fax: 973-513-9056
Jorge Gutierrez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Cedar Crest Village Dr, Pompton Plains, NJ 07444 Phone: 973-831-3670 Fax: 973-831-3671
Ms. Josephine Tiongson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9 Greendale Ave, Pompton Plains, NJ 07444 Phone: 516-902-7551
Mrs. Sarah Ruitenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Cedar Crest Dr, Pompton Plains, NJ 07444 Phone: 973-831-3672

Dr Mary Boulos, DPT - Medicare Physical Therapist in Pompton Plains, NJ